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What Is Premature Ejaculation?

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What Is Premature Ejaculation?

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A huge percentage of young men ejaculate within a few seconds or with minimal strokes during sexual intercourse.

Medically reviewed by

Dr. Preetha. J

Published At April 11, 2018
Reviewed AtJanuary 4, 2024

What Is Ejaculation, and How Does It Work?

Ejaculation means the ejection or discharge of semen from the body. The central nervous system will control the process of ejaculation. When a male is sexually excited, signals will be sent to stimulate the spine and brain. Signs will be passed from the brain to the reproductive organs when he is further excited. This will cause the semen to be ejaculated from the penis during sexual activity.

The ejaculation can occur in two phases:

  • Emission.

  • Expulsion.

The vasa deferentia are the tubes used to move the sperm from the testicles to the base of the penis via the prostate gland. The process of mixing the sperm with the seminal fluid in the prostate gland to make semen is called emission.

The ejaculation and orgasm will happen at the same time. When the muscles under the penis get contracted to push the semen out of the penis, it is called expulsion. Usually, the erection goes away after this process. Few men may achieve orgasm even without ejaculation.

There is not a specific age at which men universally stop ejaculating. It is commonly observed that as men age, the frequency of ejaculation tends to decrease, particularly in the late 40s and 50s.

What Is Premature Ejaculation?

This is the most common male sexual problem. When this happens, it is very stressful for both partners and can even lead to marital disharmony and discord. Fortunately, it can be overcome and even treated. Premature ejaculation is not correlated with testosterone levels. The occurrence of premature ejaculation does not result in a decrease in testosterone levels; rather, masturbation has been found to lead to an increase in testosterone levels. Ejaculation does not negatively affect the kidneys, despite the common misconception that it may impact kidney function.

What Are the Types of Premature Ejaculation?

Premature ejaculation can be classified as:

  • Primary Premature Ejaculation: It is also called lifelong premature ejaculation. It can occur most of the time from the first sexual encounter.

  • Secondary Premature Ejaculation: It can also be called acquired premature ejaculation. It can develop after men have had previous sexual experiences without ejaculatory problems.

What Are the Symptoms of Premature Ejaculation?

The main symptom of premature ejaculation is the inability to delay ejaculation for more than a minute after penetration during sexual intercourse.

The other symptoms of premature ejaculation are:

  • Being unable to control when to ejaculate.

  • Performance anxiety.

  • Rapid climax during masturbation may also be an issue for some people.

  • Psychological difficulties.

  • Unrealistic expectations about sex.

What Are the Causes of Premature Ejaculation?

Psychological problems can cause premature ejaculation. This may include:

  • Stress.

  • Depression.

  • Anxiety.

  • Guilt.

  • Relationship problems.

  • Poor body image.

  • Lack of confidence.

  • Concern over sexual performance.

  • Negative feelings about the idea of sex.

  • Masturbation in their teenage years.

  • Worrying about premature ejaculation.

  • Traumatic experiences like sexual assault or incest.

  • The following biological factors can also cause premature ejaculation:

  • Abnormal hormone levels.

  • Infection in the prostate or urethra.

  • Abnormal neurotransmitter levels.

  • Genetics.

  • Other factors include erectile dysfunction and stress.

What Are the Risk Factors for Premature Ejaculation?

Several factors contribute to an increased risk of premature ejaculation:

  • Erectile Dysfunction (ED): Difficulty in achieving or maintaining an erection can elevate the risk of premature ejaculation. The fear of losing an erection may lead to hastened sexual activity, whether consciously or unconsciously.

  • Stress: Emotional or mental stress in various aspects of life can be a significant factor in premature ejaculation. Stress can impede the ability to relax and concentrate during sexual activity, exacerbating the condition.

When to Seek Help from a Doctor for Premature Ejaculation?

Men need to seek help from a doctor for premature ejaculation:

  • When PE has occurred many times to cause relationship problems.

  • When PE makes them feel self-conscious.

  • When PE prevents from proceeding with intimate relationships.

How to Manage Premature Ejaculation?

Premature ejaculation (rapid climax within seconds) is common. It is natural in people with an overly sensitive penis, but it is distressing and disappointing for the couple. To overcome the problem naturally, one must understand how it happens and learn how to stop it. It is somewhat like learning control over urination or passing stools. Similarly, one can learn control over ejaculation with a few weeks of practice. To gain ejaculatory control, follow the instructions mentioned:

  • Learn to indulge in foreplay.

  • Do not penetrate the vagina quickly. Penetrate slowly in stages.

  • Once penetrated, do not start thrusting right away. Wait for a few seconds before doing it.

  • Inhale deeply or think of something boring to distract.

  • After this gap of a few seconds, slowly resume thrusting again.

  • Please read it a few times and practice.

  1. Psychological Therapy: Psychological therapy helps address emotions impacting sexual relationships. The aim is to identify the source of problems and find solutions. This therapy can reduce nervousness about sexual performance, increase sexual confidence, and enhance overall understanding of satisfying partnerships. It can be used as the sole treatment or combined with medical or behavioral therapy.

  2. Behavioral Therapy: Behavioral therapy employs exercises to build tolerance to delay ejaculation. Techniques like the squeeze and stop-start methods can help train the body away from PE. The squeeze method involves firm pressure on the penis when close to ejaculation, promoting awareness of climax sensations. The stop-start method interrupts stimulation just before climax, gradually building control over time.

  3. Immediate Relief: For immediate relief, I suggest applying a thin layer of Gesicain 5 % ointment (Lidocaine) or Xylocaine to the head of the penis 10 to 20 minutes before intercourse. Wipe it off (not wash) with a cloth before inserting the penis. This has no side effects. It will reduce the over-sensitivity of the tip of the penis for a few minutes and thus help the male stay longer in vaginal intercourse. Each time, while participating in sex, it should be repeated until control is gained through the above natural method.

  4. Medicines: Alternatively, I suggest taking Dapoxetine tablets such as Duralast 30 mg or Sustinex 30 mg about one to three hours before intercourse. Some people may get mild (tolerable) side effects from this medicine. Consult a specialist doctor, discuss with them, and start taking the medication with their consent.

The best remedy for premature ejaculation is to concentrate on the partner correctly. This can help to maintain and enjoy a fulfilling emotion with the partner while naturally controlling when ejaculating.

Which Foods Can Help With Premature Ejaculation?

The dietary food that helps to manage premature ejaculation

  • Oysters: Known as an aphrodisiac due to high zinc content, which is crucial for testosterone production.

  • Dark Chocolate: Dark chocolate contains flavonoids to improve blood flow and phenylethylamine, promoting pleasure.

  • Watermelon: Contains citrulline, relaxing blood vessels and enhancing circulation for potential performance benefits.

  • Spinach: Packed with nutrients like folate and magnesium, promoting blood flow and cardiovascular health.

  • Ginseng: A traditional herb that boosts energy levels and enhances sexual performance, improving stamina.

  • Fatty Fish: Omega-3 fatty acids in fish like salmon promote cardiovascular health and sexual vitality.

  • Bananas: Rich in potassium for muscle function and bromelain, potentially enhancing libido.

  • Avocados: Provide healthy fats, vitamin E, and potassium, supporting cardiovascular health and energy levels.

  • Strawberries: High in antioxidants, vitamins, and minerals to improve blood flow and heart health.

  • Almonds: A nutrient-dense snack with essential fatty acids that support heart health and sustain energy.

How to Prevent Premature Ejaculation?

  • Perform pelvic floor exercises.

  • Pause-start method - stop the stimulation for 30-60 seconds, then start again.

  • Squeeze technique- when ejaculation approaches, withdraw the penis and squeeze the head until the sensation passes.

What Are the Complications of Premature Ejaculation?

If untreated, PE may lead to:

  • A common complication of premature ejaculation is stress and relationship problems.

  • Fertility problems can result from PE, making it difficult to get pregnant when one does not ejaculate intravaginally.

Conclusion

Premature ejaculation is a common issue in men, but it can be effectively managed. Understanding the signs, symptoms, and related risk factors is crucial for proper management. Lifestyle and dietary changes play a significant role in addressing this condition. Premature ejaculation can be treated successfully by proper medical counseling with a doctor to help lessen its concerns and put the sex life back on track.

Frequently Asked Questions

1.

What exactly is premature ejaculation?

The release of semen during orgasm is called ejaculation. The average time for ejaculation for men is 6 minutes. When a man ejaculates sooner than his partner would like (1 to 2 minutes), it is called premature ejaculation.

2.

What is the leading cause of premature ejaculation?

Even though the exact cause is not known, PE is believed to occur due to a combination of psychological and physical factors. The common causes include:
- Psychological factors - Depression, sexual abuse, anxiety, and worrying about ejaculating early.
- Physical - Erectile dysfunction, abnormal hormone levels, and problems of the sex organs.

3.

How long should a man normally last before ejaculation?

Most men ejaculate between 4 and 11 minutes.

4.

Can premature ejaculation be cured?

If you have had this problem lifelong, then this condition is tricky to treat. But with the right psychological therapy, physical training, and medicines, most cases of premature ejaculation can be reversed.

5.

Can garlic help treat premature ejaculation?

Garlic contains allicin, which stimulates blood flow to the sexual organs in both men and women. As it is also rich in zinc and magnesium, it helps increase the time it takes for you to reach an orgasm.

6.

How to stop premature ejaculation immediately?

You can try these two methods to stop yourself from ejaculating:
- Start-stop method - Here, your partner stimulates your penis until you are close to an orgasm, and stops until the feeling passes.
- Pause-squeeze method - In this method, your penis is stimulated until you are close to an orgasm, and then your partner should firmly squeeze your penis. This will weaken your erection and you can start over.

7.

How to cure premature ejaculation naturally?

Some natural and home remedies for premature ejaculation are:
- Ayurvedic medicines.
- Chinese herbal medicines.
- Topical anesthetic creams.
- Anesthetic spray.
- Zinc supplements.
- Start-stop technique.
- Pause-squeeze technique.
- Desensitizing condoms.
- Pelvic floor exercises.

8.

Can exercise help treat premature ejaculation?

You can treat this condition by doing pelvic floor exercises. This helps strengthen your pelvic floor muscles, which lets you control ejaculation better.

9.

How to get rid of premature ejaculation?

The treatment options for premature ejaculation are:
- Start-stop technique.
- Pause-squeeze technique.
- Pelvic floor exercises.
- Using topical anesthetic spray or gel or condoms.
- Medications (Tadalafil, Sildenafil).
- Psychotherapy.
- Sex therapy.
Dr. D. V. R. Poosha
Dr. D. V. R. Poosha

Sexology

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